ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar Number, Address) Reserved for Clerk's Office Stamp TELEPHONE NO: E-MAIL ADDRESS (Optional): ATTORNEY FOR (Name): FAX NO.(Optional): SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN MATEO Hall of Justice, Probate Division, 1st Floor 400 County Center Redwood City, CA 94063 GUARDIANSHIP OF (Name): CONSERVATORSHIP OF THE PERSON ESTATE MINOR (PROPOSED) CONSERVATEE CASE NUMBER: DECLARATION RE: NOTICE OF EX PARTE APPLICATION FOR ORDERS I, 1. That I am: counsel for petition/respondent petitioner representing myself respondent representing myself other: in the above-entitled action. , declare: 2. That, pursuant to Local Rules of Court, I have given notice of the present ex parte application for orders to: counsel for petitioner/respondent, Name: self-represented petitioner self-represented respondent other: in the following manner: by telephone call at by personally advising at by letter, I personally delivered AM PM on AM PM on AM PM on , 20 . , 20 . , 20 . mailed at other: (describe) to appear in Department No. at AM PM on , 20 . 3. I have received the following response to said notice: (describe) Page 1 of 2 DECLARATION RE: NOTICE OF EX PARTE APPLICATION FOR ORDERS Form adopted for Mandatory Use Local Court Form PR-9 [September 2008] Local Court Rules 4.76(A) (2) & 4.77.14(B)5 www.sanmateocourt.org American LegalNet, Inc. www.FormsWorkflow.com 4. I have not given notice of the present ex parte application for orders for the following reason(s): (Indicate) (a) Notice of this ex parte application would frustrate the purpose of the orders sought herein. (Explain below.) (b) The applicant would suffer immediate and irreparable harm before the adverse party could be heard in opposition. (Explain below.) (c) No significant direct burden or inconvenience to the adverse party will be likely to result from the orders sought herein. (Explain below.) (d) I made the following reasonable and good faith efforts to notify the adverse party and further efforts to give notice would probably be futile and unduly burdensome. (Describe in detail.) (e) Other. (Describe in detail.) Explanation: 5. There are the following temporary permanent orders currently in effect: 6. A Court hearing date is currently set in this matter on for , 20 , at AM PM I declare under penalty of perjury that the foregoing is true and correct and that this declaration is executed at , California, at AM PM on , 20 . (Signature) (Print Name) Page 2 of 2 DECLARATION RE: NOTICE OF EX PARTE APPLICATION FOR ORDERS Form adopted for Mandatory Use Local Court Form PR-9 [September 2008] Local Court Rules 4.76(A) (2) & 4.77.14(B)5 www.sanmateocourt.org American LegalNet, Inc. www.FormsWorkflow.com